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Individual

MS. LAUREN B RUSSELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
600 SE MARION ST UNIT 103, PORTLAND, OR 97202-7058
(503) 453-0412
Mailing address
600 SE MARION ST UNIT 103, PORTLAND, OR 97202-7058
(503) 453-0412

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201241975RN
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
201241975RN
OREGON STATE BOARD OF NURSING
OR
Enumeration date
10/18/2022
Last updated
10/18/2022
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